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KOA & KEONI MEDICAL PLLC
NPI 1013188317
Family Medicine in New York, NY

Active since March 14, 2008CLIA 33D1081637 · Waiver
139 CENTRE ST, STE 724, NEW YORK, NY 10013(212) 334-2200 Get Directions Write a Review

NPPES record last updated: March 1, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Koa & Keoni Medical Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KOA & KEONI MEDICAL PLLC (NPI 1013188317) is a healthcare organization registered as a family medicine in New York, New York and active in the NPI registry since March 2008. The organization holds a CLIA Waiver certificate valid through March 20, 2028 and lists Vivian Li-hirashiki, President, as its authorized official.

NPPES Registry Identity

NPI1013188317
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKOA & KEONI MEDICAL PLLC
Location Address139 CENTRE ST, STE 724New York, NY 10013-4552
Mailing Address139 Centre St, Ste 724New York, NY 10013-4552 · (212) 334-2200
Phone(212) 334-2200
Organization SubpartNo
Authorized OfficialVivian Li-hirashikiPresident · (212) 334-2200
Enumeration DateMarch 14, 2008
Last NPPES UpdateMarch 1, 2013
✔ NPI 1013188317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 230673
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
139 CENTRE ST, New York, NY 10013
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Koa & Keoni Medical Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Koa & Keoni Medical PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Vivian Li- Hirashiki, M.D.
Family Practice
NPI 1760574891
139 CENTRE ST SUITE 724
New York, NY 10013
(212) 334-2200
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1081637

Koa & Keoni Medical PLLC · New York, NY
Active · expires Mar 20, 2028
CLIA Number33D1081637
Laboratory TypePhysician Office
Certificate Effective DateMarch 21, 2026
Certificate Expiration DateMarch 20, 2028
Laboratory DirectorDr. Vivian Y. Li-Hirashiki
Laboratory Phone(212) 334-2200
Laboratory LocationKoa & Keoni Medical PLLC139 Centre Street, Suite 724, New York, NY 10013
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Koa & Keoni Medical PLLC's NPI number?

The NPI number for Koa & Keoni Medical PLLC is 1013188317. It was assigned to this organization in the NPPES registry on March 14, 2008.

Where is Koa & Keoni Medical PLLC located?

Koa & Keoni Medical PLLC is located at 139 Centre St Ste 724, New York, NY 10013. The listed phone number is (212) 334-2200.

What is Koa & Keoni Medical PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Koa & Keoni Medical PLLC enrolled in Medicare?

Yes. Koa & Keoni Medical PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Koa & Keoni Medical PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Koa & Keoni Medical PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Koa & Keoni Medical PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1081637) is associated with this NPI, valid through March 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Koa & Keoni Medical PLLC was last updated on March 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.